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August 1, 2018JBJS Reviews

Leg-Length Discrepancy, Functional Scoliosis, and Low Back Pain

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Key result

Patients with leg-length discrepancy, low back pain, and functional scoliosis may benefit from a shoe lift for minimal symptoms or operative intervention for discrepancies >20 mm.

Population

Patients with leg-length discrepancy (LLD), low back pain, and functional scoliosis

Design

Review

Authors

ESEvan ShehaHospital for Special SurgeryMSMichael E. SteinhausThe Spine InstituteHKHan Jo KimHospital for Special Surgery

Discussion

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Implication

May inform management of symptomatic leg-length discrepancy; leaves open need for higher-level evidence on thresholds.

Structured PICO

P
Population
Patients with leg-length discrepancy (LLD), low back pain, and functional scoliosis
I
Intervention
Radiographic evaluation with pelvis leveled using blocks, shoe lift for minimal symptoms, or operative intervention for LLD >20 mm

Patients with leg-length discrepancy and functional scoliosis should be evaluated radiographically and managed with shoe lifts or surgery depending on severity.

Cite This Study

Sheha et al. (2018) conducted a review in Leg-length discrepancy, functional scoliosis, and low back pain. Shoe lift or operative intervention was evaluated. Patients with leg-length discrepancy, low back pain, and functional scoliosis may benefit from a shoe lift for minimal symptoms or operative intervention for discrepancies >20 mm.

synapsesocial.com/papers/6a6f309e26770c2b8ddfe24ehttps://doi.org/10.2106/jbjs.rvw.17.00148
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Leg Lengthening With a Motorized Nail in Adolescents2008 · 74 citations
  2. 2Lumbar Spine Structural Changes Associated With Leg Length Inequality1982 · 84 citations
  3. 3Low-Back Pain Associated With Leg Length Inequality1981 · 284 citations
  4. 4The Relationship between Leg Length Discrepancy and Lumbar Facet Orientation1988 · 17 citations